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Endocrine

For quiz 1 Path 2

QuestionAnswer
Glands are Specialized secretory epithelial cells
What is the function of glands synthesis, store and secrete
What are the portals of entry Hematogenous, direct extension, disturbance of growth
Endocrine cells act on ______ cells distant
1 Hypofunction Not making enough hormone b/c of direct damage
2 Hypofunction Not making enough hormone b/c of lack of stimulation
1 Hyperfunction Too much hormone b/c/ of tumor/hyperplasia
2 Hyperfunction Too much hormone b/c overstimulated from hormone from other organ
Examples of 1 Hypofunction Organ is destroyed, organ not developed, organ is defective
Examples of 2 Hypofunction If pit gland is destroyed/ not developed-> adrenal gland not developed
Examples of 1 Hyperfunction Functional cortical adenoma of adrenal gland, functional thyroid gland adenoma
Examples of 2 Hyperfunction PG- dependent cushings, adrenal gland overstim by tumor in PG
Example of hypersecretion of hormone/ hormone like substance by non-endocrine organ Humoral hypercalcemia of malignancy from PTHrP which is sim to PTH
Parts of the Pituitary gland Adenohypophysis and Neurohypophysis
Parts of the Adenohypophysis Pars Distalis and Pars intermedia
Parts of the Neurohypophysis Pars Nervosa
Two cells in Pars Distalis Acidophils and Basophils
Hormones released from Acidophils Somatotrophs-> Growth hormone (somatotropin) and Lactotrophs (prolactin)
Hormones released from Basophils Corticotroph->ACTH-> cortisol, Thyrotroph->TSH->T3 and T4, Gonadotroph->FSH and LH
What type of function is Diabetes Insipidus Hypofunction
What type of function is central Diabetes Insipidus if tumor, secondary
What type of function is nephrogenic Diabetes Insipidus Primary
What type of function is somatotroph adenoma? Primary hyperfunction
What is a clin sign of somatotroph adenoma? Acromegaly and DM in cats
What type of function is corticotroph adenoma at pit gland? Primary hyperfunction
What type of function is corticotroph adenoma at adrenal gland? Secondary hyperfunction
What is a clin sign of corticotroph adenoma? High blood ACTH w/ bilateral symmetric adrenal gland hyperplasia of ZF and ZR + big pit gland.
What type of function is Pit gland carcinoma? Why? Primary hypofunction, because its non-functional
What is a clin sign of Pit gland carcinoma? Central DI
PPID pathogenesis Compression of hypothalamus from pars intermedia adenoma->dysfunction -> intermittent hyperexia, hirsutism, and polyphagia
PPID endocrine pathogenesis Endocrine active -> increase CLIP, MSH and beta endorphins -> Increase iACTH-> bilateral symmetry of adrenal cortical hyperplasia
What type of function is PPID? Secondary hyperfunction
Difference between dog cushings and horse cushings Dog gets alopecia versus horse does not lose winter coat.
What type of function is aplasia and prolonged gestion? Hypofunction
What type of function is a functional adrenal gland tumor? Primary hyperfunction
What type of function is Pit cyst/dwarfism Primary hypofunction
Pit cyst/dwarfism pathogenesis Fail of pars distalis development -> cyst takes up space-> panhypopituitarism-> hyposomatotropism= no GH
Parts of the Adrenal cortex ZG, ZF, ZR
What substances are made from the adrenal cortex ZG- Mineralcort (Aldosterone) , ZF-Glucocort (Cortisol), ZR- Sex hormones
What substances are made from the adrenal medulla Epi and norepi
What type of function is Immune mediated adrenalitis Primary hypofunction
What electrolyte changes do you see in Immune mediated adrenalitis Decreased NA and increased K
What type of function is Pit gland damage Secondary hypoadrenocrticism
What type of function is Pit gland damage Secondary hypoadrenocrticism
What is another name for Immune mediated adrenalitis? Addisons
What electrolyte changes do you see in Iatrogenic or Pit gland damage? Normal Na or K
What zones are under ACTH trophism ZF and ZR
What cortical zones are lost in secondary hypoadrenocorticism? Both ZF and Zr
What cortical zones are lost in Primary hypoadrenocorticism? All
What type of function is Pituitary dependent Cushings? Secondary hyperadrenocorticism
What type of function is Adrenal gland dependent Cushings? Primary hyperadrenocorticism
What clinical signs do you see in Pituitary dependent Cushings? Bilateral adrenal gland hyperplasia
Pituitary dependent Cushings pathogenesis Functional Pit gland tumor-> Increases ACTH -> increased cortisol raised by ACTH ->excess stim-> ZF and ZR hyperplasia
What clinical signs do you see in Adrenal Gland dependent Cushings? Unilateral cortical atrophy due to tumor on the other adrenal gland.
Which cortical zones are lost in Adrenal Gland dependent Cushings? ZF and ZR on normal adrenal gland
Adrenal Gland dependent Cushings pathogenesis Normal ACTH to start->tumor increases cortisol ->trigggering negative feedback->decreased ACTH
Cushings Clinical signs Polyphagia, distended abdomen, bilateral alopecia, steroid hepatomegaly, cutaneous cutis, immunosupression.
Cushings Sequela Poss UTI
What type of function is Conn's syndrome hyperaldosteronism
Conn's syndrome pathogenesis Uni or bilateral adrenal gland tumor on ZG->increased mineralcort secretions
Conn's syndrome electrolytes Increased Na and decreased K
What is the most common medullary tumor? Pheochromocytoma
Normal thyroid gland pathway Follicular cells stim by TSH-> follicular cells become columnar and releases T3 and T4-> negative feedback back to pit gland
C cells Makes calcitonin when hypercalcemic
Which animal gets C-cell tumor Bulls
Three types of hypothyroidism Thyroid tissue loss, goiter, pit gland pars distalis or hypothalamic lesion
Hypothyroid hormones low T3, T4, Iodine intake, hypercholesteremia, Maybe high TSH
Hypothyroid clin signs Artherosclerosis, weight gain, alopecia, hepatomegaly, hepatic lipidosis,
Inherited goiter pathogenesis Inherited autosomal recessive mutation->abnormal pathway-> decreased production of T3 an T4 w/ increase of TSH-> thyroid cells interact with T3 and T4 but there is no iodothyroine production-> follicular cell hyperplasia
Acquired goiter pathogenesis Hyperplasia due to too much or too little iodine. Also goitergenic substances
What animal primarily gets hyperthyroidism Cats
Hyperthyroidism pathogenesis Functional unilateral or bilateral hyperplasia or adenoma ->increased production of T3 and T4, decreased TSH cause of - feedback
Hyperthyroid clinical signs Weight loss, Triangular shaped face, concentric ventricular hypertrophy, tachycardia
If dog has thyroid mass Prob non-functional carcinoma
PTH is released when hypocalcemic
PTH electrolytes normal Increase Calcium and decrease phosphorus
Hypoparathyroidism causes Diffuse lymphocytic parathyroiditis (Immune), non functional neoplasm, iatrogenic removal, atrophy from sustained hypercalcemia
Hypoparathyroidism clin signs hypocalcemia, hyperphosphatemia -> neuromuscular tetany and excitability and poss seizures
If its a primary hyperparathyroidism it will look like? asymmetrically enlarged glands from tumor
If its a Secondary hyperparathyroidism it will look like? Symmetrically enlarged glands from nutrition or renal
What is a nutritional cause of secondary hyperparathyroidism? Low calcium and high phosphorus
What is a renal cause of secondary hyperparathyroidism? Renal fail -> low D3 and chronic increased phos-> low calcium
Causes of pseudohyperparathyroidism? Carcinoma, lymphoma, anal sac apocrine gland adenocarcinoma, plasma cell myeloma (CLAP) -> secrete PTHrP -> hypercalcemia and normophosphotemia
Created by: user-2000257
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